JP2005000411A - Sitting posture training management system for early rising - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a sitting posture training management system for early rising, which can be used in a narrow space such as a ward, an intensive care unit or a patient's own house, and enables sitting posture training to be safely and efficiently performed with good operability, so as to promote the early rising, when health manpower keeps a watch on and supports the patient to be subjected to early rehabilitation. <P>SOLUTION: This sitting posture training management system for the early rising is constituted so that a gyrosensor 20 can be mounted on the backside of an electric gatch bed 10. A liquid-crystal touch panel type monitor 40 is arranged beside the gatch bed 10, and setting input and the like are performed by using the monitor 40. A back raising angle of the gatch bed 10 is controlled by a personal computer 30, and the back raising angle of the gatch bed 10, which is detected by the gyrosensor 20, a blood pressure which is measured by an electric sphygmomanometer 60, and a pulse and SpO<SB>2</SB>, which are measured by a pulse oxymeter 70, are brought into the personal computer 30. The back raising angle, the blood pressure, the pulse and SpO<SB>2</SB>are displayed on the monitor 40. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention provides an early leaving sitting position intended for patients with acute cerebrovascular disorders, patients who have been forced to rest after surgery, patients who have been bedridden for a long time at home or facility, etc. It relates to a training management system.
[0002]
[Prior art]
In the past, early sitting training for the purpose of getting out of bed has been started by nurses, physical therapists, etc. under the control of a doctor, adjusting the back-up angle of the bed while monitoring vital signs (biological information). In normal sitting training, the back-up angle is adjusted according to the subjectivity of health care workers such as nurses and physical therapists after measuring vital signs of the administrator. After confirming the vital sign when it reaches the back-up angle, it raises to the next set angle, and further performs sitting training based on monitoring the vital sign. Although it depends on the condition of the subject, it takes 20 minutes or more for sitting posture training.
[0003]
Physiotherapists who are in charge of rehabilitation, even though they are actually undergoing early sitting training in the medical field, are mainly centered in the training room. Due to this limitation, training could not be provided efficiently. Furthermore, since training items other than sitting posture training are also performed at the same time, the time required for one patient is limited, and a reliable effect cannot be obtained.
[0004]
On the other hand, Japanese Patent No. 2912885 discloses a standing training bed, and Japanese Patent Laid-Open No. 8-10296 discloses a standing training device. Since the techniques disclosed in Japanese Patent No. 2912885 and Japanese Patent Laid-Open No. 8-10296 are for standing training for changing posture from sleeping to standing posture directly, It is not intended. In other words, these technologies are not intended for those who intend to get out early in hospital rooms, but require a wide space (including height) such as a rehabilitation room (training room) and are publicly available technologies. In order to use this, it is necessary to move the patient once from a bed used in a hospital room or the like. A person who aims to get out early is a patient who has been bedridden for a long time immediately after onset, immediately after an injury, immediately after surgery, at home, etc. In addition, it is necessary to manage and labor enough to use it for patients who are difficult to stand and walk. Furthermore, it cannot be used in a narrow space such as a ward, an intensive care unit (CCU, ICU) or a home.
[0005]
On the other hand, the inventor of the present invention controls the angle of the electric gage bed at the 37th Japan Physical Therapy Academic Conference held from July 4 (Thu) to 6 (Sat), 2002. Announced that sitting posture training is effective.
[0006]
[Patent Document 1]
Japanese Patent No. 2912885 [Patent Document 2]
JP-A-8-10296 [Non-Patent Document 1]
37th Annual Meeting of Japanese Physical Therapy Association, Vol. 29 Special Issue No. 2 (abstract abstracts), p 366, adult central nervous disease (731)
[0007]
[Problems to be solved by the invention]
According to the gudge bed proposed by the inventor of the present invention as described above, sitting training for the purpose of early bed leaving can be performed even in a narrow space such as a ward, an intensive care unit, or a home. It is required to be able to perform training to acquire a sitting position quickly and safely with good operability and efficiency.
[0008]
In the present invention, medical staff (nurses, physical therapists, occupational therapists, etc.) monitor and support target patients for the purpose of getting out early, even in narrow spaces such as wards, intensive care units or homes. It is an object of the present invention to provide a sitting training management system for early bed leaving that can be used, and can be used to perform sitting exercises safely and with good operability in order to get out early.
[0009]
[Means for Solving the Problems]
A sitting training management system for early bed leaving according to claim 1 of the present invention allows a target back-up angle of a gudge bed and a reference value of patient's biological information to be input from a touch panel monitor, and the control device allows the target back-up angle, Based on the reference value of information, detected back-up angle, and detected biological information, the back-up angle of the gudge bed is controlled, so the administrator can easily learn training conditions etc. from the touch panel monitor beside the gudge bed. In addition to being able to make input settings, it is possible to easily check the change in the posture of the gudge bed on the touch panel monitor, and it is possible to perform sitting exercises safely, efficiently and efficiently. Further, since the back raising angle is controlled in accordance with the change in the biological information detected from the patient, the posture of the gudge bed can be appropriately controlled according to the patient's condition. The reference value can be, for example, an upper limit value and a lower limit value of biological information.
[0010]
In addition, it becomes a portable type by the structure of a gudge bed, a gyro sensor, and a liquid crystal touch panel type monitor, and can be used even in a narrow space. Furthermore, it can be easily mounted on a bed that has an electric back raising function that is currently used.
[0011]
The sitting posture training management system for early bed leaving according to claim 2 of the present invention has the configuration of claim 1 and displays biological information detected from a patient on the gudget bed on a touch panel monitor as the back raising angle changes. Since the information, the reference value of the biological information and the detected back-up angle are also automatically saved, the same effects as in the first aspect can be obtained, the biological information can be easily confirmed, and further for early bed leaving in the future. As a database for sitting posture training, biometric information and reference value history can be referred to later.
[0012]
The sitting training management system for early bed leaving according to claim 3 of the present invention comprises the configuration of claim 1 or claim 2 and is capable of setting the time for maintaining the back raising angle reached from the point of reaching the target back raising angle. Therefore, the same effect as in claim 1 or claim 2 can be obtained, the time for maintaining the back raising angle can be easily changed and set, and the sitting position training can be performed efficiently and efficiently. Can do.
[0013]
The sitting training management system for early bed leaving according to claim 4 of the present invention comprises the configuration according to claim 1, and in a state where the numerical value of the biological information when the back raising angle reaches the target back raising angle exceeds the reference value. If so, the back raising angle is lowered, so that the same effect as that of the first aspect can be obtained, and it is possible to quickly cope with over the reference value of the biological information due to the raising of the back raising angle. Note that “exceeding the reference value” includes both cases where the upper limit value as the reference value is exceeded and the lower limit value as the reference value is exceeded.
[0014]
The sitting training management system for early bed leaving according to claim 5 of the present invention comprises the structure of claim 1 and is biometric information within a time for maintaining the back raising angle reached from when the back raising angle reaches the target back raising angle. Since the back-up angle is raised to the next target back-up angle if the state is stable, the same operational effects as in claim 1 can be obtained, and the biological information is stable at the first target back-up angle. In this state, the sitting position training is advanced to the second target back-up angle, and further to the acquisition of the sitting position that does not require the back of the bed and the sitting position that sits on the edge of the bed for early getting out of bed. it can.
[0015]
Since the sitting training management system for early bed leaving according to claim 6 of the present invention has the configuration of claim 1 and the emergency stop switch is provided on the liquid crystal touch panel monitor so that the back-up angle returns horizontally in an emergency, The same effects as those of the first aspect can be obtained, and it is possible to immediately cope with an emergency such as when the patient's biological information becomes an abnormal value.
[0016]
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 is a perspective view showing an outline of a gudge bed 10 according to the embodiment. A main body of the gudge bed 10 has a substrate 2 disposed on a frame 1 and a mat 3 disposed on the substrate 2. The substrate 2 is configured by arranging a plurality of horizontal plates 20a in the vertical direction of the bed. On the back surface of the substrate 2 (on the side opposite to the mat 3), a rotating arm 4 that is pivotally supported at a substantially central position of the frame 1 is disposed. It is rotated as shown by the arrow in the figure. Thereby, the board | substrate 2 and the mat | matte 3 curve in the part corresponding to a patient's waist | hip | lumbar part, and the back raising angle (inclination angle) of the bed back part corresponding to a patient's back changes. That is, the gage bed 10 is an electric type. Further, a gyro sensor 20 is attached to the back side of the substrate 2, and the back raising angle is detected by the gyro sensor 20.
[0017]
FIG. 2 is a diagram showing a basic configuration of a sitting training management system for early bed leaving according to an embodiment of the present invention. This system is controlled entirely by a personal computer 30 as a control device. The personal computer 30 is connected to the gyro sensor 20, the liquid crystal touch panel monitor 40, the driver 50, the electric blood pressure monitor 60, and the pulse oximeter 70. The liquid crystal touch panel type monitor 40 is composed of a liquid crystal monitor 40 a and a transparent touch panel 40 b, and is disposed beside the gudge bed 10. Various displays and setting inputs are performed by the liquid crystal touch panel type monitor 40 by executing the control program by the personal computer 30. Thereby, it can operate, seeing a patient's mode. Therefore, it is possible to train efficiently with good operability.
[0018]
The driver 50 drives the lift motor 5, and the personal computer 30 outputs a drive signal to the driver 50 to drive the lift motor 5 while monitoring the back raising angle detected by the gyro sensor 20. Thereby, the back raising angle of the gudge bed 10 is controlled. The electric blood pressure monitor 60 measures the blood pressure detected by the Manchette 60a wound around the arm of the subject (patient) M, and outputs the measured blood pressure data to the personal computer 30 as a biological signal. The pulse oximeter 70 measures the pulse and SpO ₂ detected by the sensor 70a attached to the fingertip of the subject M, and outputs the measured pulse and SpO ₂ data to the personal computer 30 as a biological signal. .
[0019]
The storage device (for example, a hard disk) of the personal computer 30 is provided with a storage area for storing information on a large number of subjects, and stores physical information and biological information about the subject specified by the ID information. Is done. Also, it is possible to record biometric information during sitting exercise.
[0020]
With the above configuration, the personal computer 30 executes the control program and performs management control of sitting exercise. At the time of sitting training, first, the patient is placed in a supine position on the gadget bed 10 and biological information at rest is measured with an electric sphygmomanometer and a pulse oximeter. FIG. 6A is a diagram showing a display example on the liquid crystal monitor 40a for inputting and setting information on the subject. On this screen, the ID number, name, height, weight, sex, age, and the file name of the file assigned as the subject's information recording area are input. Or the information memorize | stored beforehand may be displayed by inputting ID number, and a subject is specified by these information. In addition, a recording interval (seconds) for recording biometric information is also input. When the recording start screen switch SW31 is operated, the blood pressure data measured by the electric sphygmomanometer 60 and the pulse and SpO ₂ data measured by the pulse oximeter 70 correspond to the subject at each recording interval. Recorded in a file.
[0021]
Next, a predetermined operation is performed on the touch panel 40b to display the bed control initial menu screen of FIG. 6B on the liquid crystal monitor 40a. On this screen, a screen switch SW32 of “always control method”, a screen switch SW33 of “two-step control method”, and a screen switch SW34 of “end” are displayed. Then, by operating the screen switch SW32 or SW33, it is possible to select and control two methods, a constant control method and a two-step control method. The “constant control method” is a method for controlling the biological information value, the bed angle, and the time for maintaining the angle that the examiner controls according to the condition of the subject. In the “two-step control method”, first, the target bed angle, the time for maintaining the angle, and the control set by the biological information can be cleared, the control proceeds to the next target control. It is a method to be performed automatically. It should be noted that the main process is ended by operating the “end” screen switch SW34. FIG. 6C shows a display example of the screen at the time of bed initialization, in which a display indicating that the bed is being initialized and the current angle (sensor angle) of the gudge bed 10 are displayed.
[0022]
FIG. 5 is a display example of an input screen for basic settings. In the check box CB10, whether or not to perform origin return at the time of activation and whether or not to keep the angle automatically at the target back raising angle are set. . In addition, in the input box IB20, the angle setting error range, the stabilization waiting time of the angle sensor (gyro sensor), the amount of change of the angle corresponding to the operation of the angle setting button, the upper limit of the settable back raising angle, the origin offset, the gudge bed 10 Enter the average angular velocity when waking up the bed back. The input to these boxes is performed with the mouse and keyboard of the personal computer 30. The screen switch SW35 is operated when the angle sensor is reset to the default state.
[0023]
FIG. 3 is a display example of an input screen for training setting information. The upper limit / lower limit value setting section includes check boxes CB1 to CB4, display boxes DB1 to DB4, input boxes IB1 to IB8, up / down switches SW1 to SW8, and the like. Is displayed. The display boxes DB1 to DB4 display the types of biological information of “systolic blood pressure”, “diastolic blood pressure”, “pulse”, and “SpO2”, and the biological information checked in the check boxes CB1 to CB4 is controlled. Is selected as a criterion. The upper limit value of the selected biological information is input to the input boxes IB1 to IB4 by operating the up / down switches SW1 to SW4, and the lower limit value of the selected biological information is input to the input box IB5 by operating the up / down switches SW5 to SW8. Input to IB8.
[0024]
The control angle / time setting unit displays input boxes IB9 to IB12, up / down switches SW9 to SW12, and the like. The control angle is the target back raising angle, and the control time is the time for maintaining the angle at the target back raising angle. Then, the first set value of the control angle is input to the input box IB9 by operating the up / down switch SW9, and the second set value of the control angle is input to the input box IB10 by operating the up / down switch SW10. The first set value of the control time is input to the input box IB11 by operating the up / down switch SW11, and the second set value of the control time is input to the input box IB12 by operating the up / down switch SW12.
[0025]
That is, the initial values of the upper limit value and the lower limit value of the biological information displayed in the input boxes IB1 to IB8 of the upper limit / lower limit value setting unit, the initial values of the angle and time displayed in the input boxes IB9 to IB12, For example, if there is data of the subject, it is displayed, or if not, standard data is displayed. These values are changed as necessary by operating the up / down switches SW1 to SW12. As described above, when the upper limit value and lower limit value of the biological information, the control angle, and the control time are input and set, and the OK switch SW36 is operated, each set value is stored. The first and second values are input as the control angle and the control time. However, in the case of the constant control method, only the first setting value is effective, and in the two-step control method, the first value and the second value are effective. The set values for the second time are valid.
[0026]
FIG. 4 is a display example of an input screen when the personal computer 30 starts angle training and the angle control of the gudge bed 10 is started. Display boxes DB5 and DB6 and selection switches SW13 and SW14 are displayed on the bed portion. Next to SW13 and SW14, the first set angle and the second set angle (30 ° and 60 ° in this example) are displayed. The display box DB5 displays the current back raising angle (current angle), and the display box DB6 displays the target back raising angle (set angle). Note that the target back raising angle can be changed and set in the first time and the second time by operating the selection switches SW13 and SW14.
[0027]
The living body monitor unit displays display boxes DB7 to DB10 for displaying living body information and two sets of display boxes DB11 to D14. The display boxes DB7 to DB10 display systolic blood pressure values, diastolic blood pressure values, pulse values, and SpO ₂ values detected in real time from the subject. The display boxes DB11 to DB14 display the upper limit value and the lower limit value set for the corresponding biological information.
[0028]
Further, on the screen at the time of angle control, screen switches SW15 to SW20 for control start, control end, recording start, recording end, emergency stop, and end are displayed. Then, the sitting training control is started by operating the control start switch SW15, and the control is ended by operating the control end switch SW16. In addition, recording of biometric information is started by operating the switch SW17 for starting recording, and recording is ended by operating the switch SW18 for recording end. Furthermore, the operation of the emergency stop switch SW19 causes the gage bed 10 to become horizontal and the sitting training is forcibly terminated. Further, the control is ended by operating the end switch SW20.
[0029]
The sitting training mode is set and controlled by the display on the liquid crystal monitor 40a and the operation on the touch panel 40b as described above. In the constant control method, the target back raising angle (first setting angle), the time for maintaining the angle at the target back raising angle (angle maintenance time: first setting time), and the reference value (upper limit) of biological information Value and lower limit value) and input from the liquid crystal touch panel monitor 40, respectively. Then, recording of the biological information detected by operating the recording start switch SW17 is started, and the gadget bed 10 is driven by operating the control start switch SW15. When the back up angle reaches the target back up angle, the back up angle is maintained for the angle maintaining time. During this time, if the value of the detected biometric information exceeds or falls below the upper limit value, the back-up angle is lowered to zero degrees (horizontal position) at that time. If the value of the detected biological information is within the range between the upper limit value and the lower limit value, after the angle maintenance time has elapsed, the bed back-up angle is lowered until it reaches zero degrees (horizontal position).
[0030]
In the two-stage control method, the first target back raising angle (first setting angle), the first time for maintaining the angle at the first target back raising angle (first setting time), the first Second target back raising angle (second setting angle), second time for maintaining the angle at the second target back raising angle (second setting time), and reference value (upper limit) of biological information Value and lower limit value) and input from the liquid crystal touch panel monitor 40, respectively. Then, recording of the biological information detected by operating the recording start switch SW17 is started, and the gadget bed 10 is driven by operating the control start switch SW15. When the back raising angle reaches the first target back raising angle, the back raising angle is maintained for the first set time. During this time, if the value of the detected biometric information exceeds the upper limit value or the lower limit value, the back-up angle is lowered to zero degree (horizontal position) at that time.
[0031]
If the value of the detected biological information is within the range between the upper limit value and the lower limit value, the gadget bed 10 is automatically driven after the first set time has elapsed. When the back raising angle reaches the second target back raising angle, the back raising angle is maintained for the second set time. During this time, if the value of the detected biometric information exceeds the upper limit value or the lower limit value, the back-up angle is lowered to zero degree (horizontal position) at that time. If the value of the detected biological information is within the range between the upper limit value and the lower limit value, the second set time elapses, and then the back raising angle of the bed is lowered to zero degree (horizontal position).
[0032]
In an emergency such as when an abnormality of the subject is recognized during these sitting posture exercises, the emergency stop switch SW19 is operated so that the angle is controlled so that the back-up angle is horizontal and the emergency stop is performed.
[0033]
As described above, in the constant control method, sitting posture training can be easily performed, and it is possible to quickly cope with an over-reference value of biological information due to an increase in the back raising angle. Further, in the two-stage control method, the sitting posture training can be easily performed, the biological information is stable at the first target back-up angle, and the second back-up angle is increased to the second target back-up angle. , Advanced sitting posture training.
[0034]
【The invention's effect】
According to the early leaving sitting training management system of claim 1 of the present invention, the manager can easily input and set training conditions and the like from the touch panel monitor beside the gudge bed, and the posture of the gudge bed on the touch panel monitor. Can be easily confirmed, and the sitting position training can be performed safely, efficiently and efficiently. Further, since the back raising angle is controlled in accordance with the change in the biological information detected from the patient, the posture of the gudge bed can be appropriately controlled according to the patient's condition. The reference value can be, for example, an upper limit value and a lower limit value of biological information.
[0035]
According to claim 2 of the present invention, the sitting training management system for early bed leaving is provided with the structure of claim 1, and the biological information detected from the patient on the gudget bed is displayed on the touch panel monitor as the back raising angle changes. In addition, since the biological information, the reference value of the input biological information and the detected back-up angle are automatically saved, the same effect as in claim 1 can be obtained and the biological information can be easily confirmed. Biological information and history of reference values can be referenced later as a database for sitting training for early getting out of bed.
[0036]
According to the sitting training management system for early bed leaving according to claim 3 of the present invention, the same effect as that of claim 1 or claim 2 can be obtained, and the time for maintaining the back raising angle can be easily changed and set. Furthermore, it is easy to operate and can perform sitting training efficiently.
[0037]
According to the sitting posture training management system for early getting out of bed according to claim 4 of the present invention, the same effect as in claim 1 can be obtained, and the reference value of the biological information due to the rise of the back raising angle can be dealt with early. Can do.
[0038]
According to the sitting training management system for early bed leaving according to claim 5 of the present invention, the same effect as in claim 1 can be obtained, and the second target can be obtained while the biological information is stable at the first target back-up angle. It is possible to perform sitting exercises that are raised to a back-up angle and approaching early bed removal.
[0039]
According to the sitting training management system for early bed leaving according to claim 6 of the present invention, the same effect as in claim 1 can be obtained, and immediate response can be made in an emergency such as when the patient's biological information becomes an abnormal value. Can do.
[Brief description of the drawings]
FIG. 1 is a perspective view showing an outline of a gudge bed in an embodiment of the present invention.
FIG. 2 is a diagram showing a basic configuration of an early bed leaving position training management system according to an embodiment of the present invention.
FIG. 3 is a diagram showing a display example of an input screen for training setting information in the embodiment of the present invention.
FIG. 4 is a diagram showing a display example of a screen at the time of angle control in the embodiment of the present invention.
FIG. 5 is a diagram showing a display example of an input screen for basic settings in the embodiment of the present invention.
FIG. 6 is a diagram illustrating a display example of a screen for inputting and setting information on a subject, a display example of a bed control initial menu screen, and a display example of a screen at the time of bed initialization in the embodiment of the present invention.
[Explanation of symbols]
10 Gudge bed 20 Gyro sensor 30 Personal computer 40 LCD touch panel monitor 60 Electric blood pressure monitor 70 Pulse oximeter

Claims (6)

An electric gage bed,
A gyro sensor attached to the back of the gudget bed;
A touch panel monitor disposed beside the gadget bed;
A biological information sensor for detecting biological information from a patient on the gadget bed;
A control device for driving and controlling the gadget bed;
With
From the touch panel monitor, it is possible to input the target back raising angle of the gadget bed and the reference value of the patient's biological information,
Based on the inputted target back raising angle, the reference value of the inputted biological information, the back raising angle detected by the gyro sensor, and the biological information detected by the biological information sensor by the control device, the gudge bed A sitting posture training management system for early bed leaving characterized by controlling the back-up angle of the child. The biological information detected from the patient on the gudget bed is displayed on the touch panel monitor as the back raising angle detected by the gyro sensor is changed, and the biological information, the reference value of the input biological information, and the detection are displayed. 2. The sitting training management system for early bed leaving according to claim 1, wherein the back-raised angle is automatically stored. The input time can be set from the touch panel monitor when the back raising angle detected by the gyro sensor reaches the target back raising angle. Item 2. A sitting training management system for early bed leaving. 2. The early bed leaving according to claim 1, wherein when the back raising angle reaches a target back raising angle, the numerical value of the biological information exceeds a reference value, the back raising angle is lowered. A sitting training management system. If the biometric information is in a stable state within the time for maintaining the back-up angle reached from the time when the back-up angle reaches the target back-up angle, the back-up angle is increased to the next target back-up angle. The sitting training management system for early bed leaving according to claim 1. 2. The early floor sitting training management system according to claim 1, wherein an emergency stop switch is provided on the touch panel monitor so that the back-up angle returns to a horizontal level in an emergency.

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